Counties in Texas by adult cigarette smoking rate, local model estimate, 2023
Newton County had the highest adult cigarette smoking rate, local model estimate of 253 counties in 2023, at 22.2%. Terrell County had the lowest, at 9.2%. The median was 14.8%. Source: the Centers for Disease Control and Prevention.
Map of counties, 2023
- Under 13
- 13 to 14
- 14 to 15
- 15 to 16
- 16 to 17
- 17 and over
- No data
Top 40 counties, 2023
Full ranking
| Rank | Counties | 2023 (%) | Change on 2022 |
|---|---|---|---|
| 1 | Newton County | 22.2 | -1.6 pts |
| 2 | San Augustine County | 21.8 | -0.4 pts |
| 3 | Cochran County | 19.3 | -1.9 pts |
| 3 | Tyler County | 19.3 | +1.3 pts |
| 5 | Dimmit County | 18.9 | -1.1 pts |
| 5 | Jasper County | 18.9 | -1.5 pts |
| 5 | Polk County | 18.9 | -1 pts |
| 8 | Hudspeth County | 18.7 | -3.7 pts |
| 9 | Shelby County | 18.5 | -2.2 pts |
| 10 | Wilbarger County | 18.2 | -1.5 pts |
| 11 | Foard County | 18 | -1.9 pts |
| 11 | Zavala County | 18 | +1 pts |
| 13 | Houston County | 17.9 | -1.6 pts |
| 14 | Liberty County | 17.8 | -3.3 pts |
| 15 | Marion County | 17.7 | -1.3 pts |
| 16 | Cottle County | 17.6 | -2.7 pts |
| 16 | Swisher County | 17.6 | -0.1 pts |
| 18 | Jack County | 17.5 | -0.4 pts |
| 18 | King County | 17.5 | -5.1 pts |
| 18 | Red River County | 17.5 | -2.6 pts |
| 18 | San Jacinto County | 17.5 | -1.5 pts |
| 22 | Anderson County | 17.4 | -1.2 pts |
| 23 | Nolan County | 17.3 | -0.8 pts |
| 23 | Potter County | 17.3 | -2.8 pts |
| 25 | Camp County | 17.2 | +0.1 pts |
| 25 | Cass County | 17.2 | -1.9 pts |
| 25 | Jim Hogg County | 17.2 | +1.3 pts |
| 28 | Angelina County | 17.1 | -1.8 pts |
| 28 | Dawson County | 17.1 | -1.7 pts |
| 28 | Falls County | 17.1 | -1.9 pts |
| 28 | Jones County | 17.1 | -3.7 pts |
| 28 | Zapata County | 17.1 | -2.8 pts |
| 33 | Cherokee County | 16.9 | -2 pts |
| 33 | Dallam County | 16.9 | -0.3 pts |
| 33 | Garza County | 16.9 | -1.7 pts |
| 33 | Starr County | 16.9 | -0.8 pts |
| 37 | Briscoe County | 16.8 | -5 pts |
| 37 | Live Oak County | 16.8 | -0.9 pts |
| 37 | Trinity County | 16.8 | -0.5 pts |
| 40 | Lamar County | 16.7 | -2 pts |
| 40 | Morris County | 16.7 | -1.2 pts |
| 40 | Terry County | 16.7 | -2.8 pts |
| 43 | Fannin County | 16.6 | -0.4 pts |
| 43 | Limestone County | 16.6 | -4.2 pts |
| 43 | Navarro County | 16.6 | -0.7 pts |
| 43 | Upshur County | 16.6 | -3.8 pts |
| 43 | Upton County | 16.6 | -2.1 pts |
| 48 | Collingsworth County | 16.5 | -1.7 pts |
| 48 | Titus County | 16.5 | -0.9 pts |
| 50 | Gaines County | 16.4 | -1.1 pts |
| 50 | Gray County | 16.4 | -3.2 pts |
| 50 | Lee County | 16.4 | -1.3 pts |
| 50 | Real County | 16.4 | -2.6 pts |
| 50 | Willacy County | 16.4 | -0.3 pts |
| 55 | Haskell County | 16.3 | -2.8 pts |
| 55 | Palo Pinto County | 16.3 | -1.2 pts |
| 57 | Baylor County | 16.2 | +1.8 pts |
| 57 | Madison County | 16.2 | -1.4 pts |
| 57 | Sabine County | 16.2 | -3 pts |
| 57 | Walker County | 16.2 | -2 pts |
| 61 | Culberson County | 16.1 | -0.3 pts |
| 61 | Henderson County | 16.1 | -1.5 pts |
| 61 | Jefferson County | 16.1 | -2.4 pts |
| 61 | Rusk County | 16.1 | -1 pts |
| 65 | Bowie County | 16 | -1.9 pts |
| 65 | DeWitt County | 16 | -0.6 pts |
| 65 | Freestone County | 16 | -2.6 pts |
| 65 | Karnes County | 16 | -0.8 pts |
| 65 | Mitchell County | 16 | -3.6 pts |
| 65 | Wheeler County | 16 | -2.5 pts |
| 71 | Crosby County | 15.9 | -2.8 pts |
| 71 | Delta County | 15.9 | +1.4 pts |
| 71 | Leon County | 15.9 | -4.1 pts |
| 71 | Lynn County | 15.9 | -3.2 pts |
| 71 | McMullen County | 15.9 | -3 pts |
| 76 | Concho County | 15.8 | -3.7 pts |
| 76 | Gonzales County | 15.8 | -0.8 pts |
| 76 | Hardeman County | 15.8 | -1.4 pts |
| 76 | Pecos County | 15.8 | -0.4 pts |
| 80 | Deaf Smith County | 15.7 | -3.9 pts |
| 80 | Grimes County | 15.7 | -2.1 pts |
| 80 | Hale County | 15.7 | -2.7 pts |
| 80 | Montague County | 15.7 | -0.4 pts |
| 80 | Moore County | 15.7 | -3.6 pts |
| 80 | Orange County | 15.7 | -2.4 pts |
| 80 | Robertson County | 15.7 | -0.6 pts |
| 87 | Eastland County | 15.6 | -2.2 pts |
| 87 | Hall County | 15.6 | -0.8 pts |
| 87 | Hardin County | 15.6 | -1.8 pts |
| 87 | Knox County | 15.6 | -1 pts |
| 87 | Panola County | 15.6 | -3.4 pts |
| 87 | Reeves County | 15.6 | -2.2 pts |
| 87 | Stephens County | 15.6 | -3.3 pts |
| 87 | Van Zandt County | 15.6 | -1.8 pts |
| 95 | Coleman County | 15.5 | -1.7 pts |
| 95 | Hopkins County | 15.5 | -0.6 pts |
| 97 | Brooks County | 15.4 | -0.1 pts |
| 98 | Brown County | 15.3 | -0.7 pts |
| 98 | Coke County | 15.3 | -4.8 pts |
| 98 | Gregg County | 15.3 | -2 pts |
| 98 | Hamilton County | 15.3 | -2.7 pts |
| 98 | Hill County | 15.3 | -2.6 pts |
| 98 | La Salle County | 15.3 | -2.1 pts |
| 98 | Matagorda County | 15.3 | -3.6 pts |
| 98 | Milam County | 15.3 | -0.4 pts |
| 98 | Oldham County | 15.3 | -1.5 pts |
| 107 | Floyd County | 15.2 | -3.5 pts |
| 107 | Harrison County | 15.2 | -1.4 pts |
| 107 | Hunt County | 15.2 | -1.6 pts |
| 107 | Lamb County | 15.2 | -2.3 pts |
| 111 | Dickens County | 15.1 | -0.7 pts |
| 111 | Howard County | 15.1 | -2.3 pts |
| 111 | Kenedy County | 15.1 | -11 pts |
| 111 | McCulloch County | 15.1 | -3 pts |
| 115 | Edwards County | 15 | -3.9 pts |
| 115 | Frio County | 15 | -2.9 pts |
| 115 | Jackson County | 15 | -2.5 pts |
| 115 | Refugio County | 15 | -0.6 pts |
| 115 | Stonewall County | 15 | -2 pts |
| 120 | Nacogdoches County | 14.9 | 0 pts |
| 120 | Ochiltree County | 14.9 | -0.8 pts |
| 120 | San Saba County | 14.9 | -1.6 pts |
| 120 | Throckmorton County | 14.9 | 0 pts |
| 124 | Bee County | 14.8 | -3.3 pts |
| 124 | Duval County | 14.8 | -1.4 pts |
| 124 | Hutchinson County | 14.8 | -0.6 pts |
| 124 | Kimble County | 14.8 | -1.5 pts |
| 124 | Wise County | 14.8 | -3.2 pts |
| 124 | Wood County | 14.8 | -1 pts |
| 130 | Callahan County | 14.7 | -2.1 pts |
| 130 | Childress County | 14.7 | -3.3 pts |
| 132 | Archer County | 14.6 | -0.4 pts |
| 132 | Austin County | 14.6 | -1 pts |
| 132 | Jim Wells County | 14.6 | -1.4 pts |
| 132 | Presidio County | 14.6 | -3.6 pts |
| 132 | Rains County | 14.6 | -2.4 pts |
| 132 | Wichita County | 14.6 | -1.3 pts |
| 138 | Andrews County | 14.5 | -2.2 pts |
| 138 | Comanche County | 14.5 | -2.8 pts |
| 138 | Cooke County | 14.5 | -1.4 pts |
| 138 | Hockley County | 14.5 | -1.4 pts |
| 138 | Lipscomb County | 14.5 | -2.8 pts |
| 138 | Ward County | 14.5 | -2.7 pts |
| 138 | Young County | 14.5 | -3.2 pts |
| 145 | Bailey County | 14.4 | +0.6 pts |
| 145 | Caldwell County | 14.4 | -2.2 pts |
| 145 | Grayson County | 14.4 | -3.6 pts |
| 145 | Jeff Davis County | 14.4 | -2 pts |
| 145 | Johnson County | 14.4 | -3.1 pts |
| 145 | Lavaca County | 14.4 | -2.4 pts |
| 145 | Motley County | 14.4 | -0.4 pts |
| 145 | San Patricio County | 14.4 | -1.2 pts |
| 153 | Crane County | 14.3 | -2.6 pts |
| 153 | Crockett County | 14.3 | -0.6 pts |
| 153 | Donley County | 14.3 | -1.9 pts |
| 153 | Runnels County | 14.3 | -1.3 pts |
| 157 | Bosque County | 14.2 | -3.8 pts |
| 157 | Clay County | 14.2 | -0.9 pts |
| 157 | Ector County | 14.2 | -1.7 pts |
| 157 | Goliad County | 14.2 | -1.2 pts |
| 157 | Lampasas County | 14.2 | -3.5 pts |
| 157 | Maverick County | 14.2 | -2.9 pts |
| 157 | Scurry County | 14.2 | -3.1 pts |
| 157 | Wharton County | 14.2 | -2.3 pts |
| 165 | Aransas County | 14.1 | -3.1 pts |
| 165 | Burleson County | 14.1 | -3.4 pts |
| 165 | Coryell County | 14.1 | -4.4 pts |
| 165 | Winkler County | 14.1 | -2.6 pts |
| 169 | Bastrop County | 14 | -0.8 pts |
| 169 | Kaufman County | 14 | -2.9 pts |
| 169 | Martin County | 14 | -3.1 pts |
| 169 | Menard County | 14 | +0.3 pts |
| 169 | Sutton County | 14 | -2.9 pts |
| 174 | Bandera County | 13.9 | -1.3 pts |
| 174 | Victoria County | 13.9 | -2.3 pts |
| 176 | Atascosa County | 13.7 | -2 pts |
| 177 | Colorado County | 13.6 | -2.3 pts |
| 177 | Hansford County | 13.6 | +0.1 pts |
| 177 | Smith County | 13.6 | -3.1 pts |
| 180 | McLennan County | 13.5 | -3.4 pts |
| 181 | Chambers County | 13.4 | -1.5 pts |
| 181 | Fisher County | 13.4 | -3.5 pts |
| 181 | Hartley County | 13.4 | -0.4 pts |
| 181 | Parmer County | 13.4 | -3.2 pts |
| 181 | Somervell County | 13.4 | +0.7 pts |
| 186 | Bell County | 13.3 | -2 pts |
| 186 | Castro County | 13.3 | -1.4 pts |
| 186 | Hidalgo County | 13.3 | -3.2 pts |
| 189 | Burnet County | 13.1 | -2.3 pts |
| 189 | Carson County | 13.1 | -1.8 pts |
| 189 | Franklin County | 13.1 | +0.2 pts |
| 189 | Nueces County | 13.1 | -3.1 pts |
| 189 | Reagan County | 13.1 | -1.3 pts |
| 189 | Uvalde County | 13.1 | -1.4 pts |
| 195 | Calhoun County | 13 | -0.3 pts |
| 195 | Cameron County | 13 | -3.4 pts |
| 195 | Val Verde County | 13 | -1.9 pts |
| 198 | Erath County | 12.9 | -3.4 pts |
| 198 | Parker County | 12.9 | -0.4 pts |
| 198 | Taylor County | 12.9 | -1.5 pts |
| 198 | Yoakum County | 12.9 | -5.4 pts |
| 202 | Armstrong County | 12.8 | -2.6 pts |
| 202 | Irion County | 12.8 | -1.8 pts |
| 202 | Tom Green County | 12.8 | -2.7 pts |
| 205 | Harris County | 12.7 | -2.9 pts |
| 205 | Mills County | 12.7 | -2.1 pts |
| 205 | Tarrant County | 12.7 | -2 pts |
| 205 | Webb County | 12.7 | +0.8 pts |
| 209 | Ellis County | 12.6 | -1.8 pts |
| 209 | Lubbock County | 12.6 | -1.7 pts |
| 209 | Medina County | 12.6 | -2.4 pts |
| 212 | Dallas County | 12.5 | -0.8 pts |
| 212 | Guadalupe County | 12.5 | +0.5 pts |
| 212 | Llano County | 12.5 | -2.2 pts |
| 212 | Shackelford County | 12.5 | -2.2 pts |
| 216 | Borden County | 12.4 | +1.7 pts |
| 216 | Kerr County | 12.4 | -2.5 pts |
| 216 | Roberts County | 12.4 | -2.8 pts |
| 216 | Wilson County | 12.4 | -2.9 pts |
| 220 | Fayette County | 12.3 | -2.4 pts |
| 220 | Galveston County | 12.3 | -1.4 pts |
| 220 | Schleicher County | 12.3 | -3.8 pts |
| 220 | Sherman County | 12.3 | -3.4 pts |
| 224 | Bexar County | 12.2 | -1.7 pts |
| 224 | Kinney County | 12.2 | -2.1 pts |
| 224 | Waller County | 12.2 | -2 pts |
| 227 | El Paso County | 12.1 | -1.9 pts |
| 227 | Kleberg County | 12.1 | -1.3 pts |
| 227 | Washington County | 12.1 | -3.3 pts |
| 230 | Hood County | 12 | 0 pts |
| 230 | Midland County | 12 | -0.7 pts |
| 230 | Randall County | 12 | -1.9 pts |
| 233 | Montgomery County | 11.8 | -4.5 pts |
| 234 | Brazos County | 11.7 | -0.4 pts |
| 234 | Hemphill County | 11.7 | -4.1 pts |
| 236 | Brazoria County | 11.6 | -1.6 pts |
| 237 | Blanco County | 11.5 | -3.8 pts |
| 237 | Kent County | 11.5 | -2.7 pts |
| 237 | Mason County | 11.5 | -2.6 pts |
| 240 | Sterling County | 11.2 | -3 pts |
| 241 | Gillespie County | 11.1 | -2.6 pts |
| 242 | Glasscock County | 10.8 | -1.4 pts |
| 242 | Hays County | 10.8 | -2.7 pts |
| 244 | Comal County | 10.5 | -2.4 pts |
| 245 | Kendall County | 10 | +0.2 pts |
| 245 | Rockwall County | 10 | -2.4 pts |
| 247 | Williamson County | 9.9 | -1.1 pts |
| 248 | Denton County | 9.8 | -1.1 pts |
| 248 | Fort Bend County | 9.8 | -1.4 pts |
| 250 | Brewster County | 9.7 | -1.7 pts |
Other periods
About this ranking
Percentage of adults who have smoked at least 100 cigarettes in their lifetime and now smoke every day or on some days. Model-based estimate for adults aged 18 and over from CDC PLACES. Crude prevalence, not age-adjusted.
US counties and cities (incorporated places of 10,000 or more). CDC PLACES combines Behavioral Risk Factor Surveillance System (BRFSS) answers with local population data through multilevel regression and poststratification, so a county or city value is a model estimate, not a survey count. The year is the BRFSS survey year, not the release year. CDC says the method does not support tracking change in a place over time, and each annual release can change the model, so values for different years are not strictly comparable. A state is missing in a year when its BRFSS data did not meet standards (Kentucky and Pennsylvania in 2023, Florida in 2021). Connecticut counties appear as its nine planning regions from 2022; its eight former counties are not served. City values for 2021 come from the 2023 release, built on 2010 Census place boundaries; later years use 2020 boundaries. State and national values come from direct BRFSS estimates under adult_smoking_rate.
Every value in the ranking comes from the same publisher and the same period, so the counties are compared on one definition. 1 counties with data in other periods have no value for 2023 and are left out rather than filled from another source. Equal values share a rank.
How to cite
Centers for Disease Control and Prevention (CDC). PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), adult cigarette smoking rate, crude prevalence. https://www.cdc.gov/places/. Retrieved 2026-10-12. These data are available free from CDC. Use does not imply endorsement by CDC, ATSDR, HHS or the United States Government.
Citation styles
APA 7
Centers for Disease Control and Prevention. (2025). PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), adult cigarette smoking rate, crude prevalence (Counties in Texas by adult cigarette smoking rate, local model estimate, 2023) [Data set]. Retrieved October 12, 2026, from https://www.cdc.gov/places/
MLA 9
PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), adult cigarette smoking rate, crude prevalence, Counties in Texas by adult cigarette smoking rate, local model estimate, 2023. Centers for Disease Control and Prevention, 4 Dec. 2025, https://www.cdc.gov/places/. Invokely, https://invokely.ai/rankings/adult-smoking-rate-county-estimate/texas-counties. Accessed 12 Oct. 2026.
Chicago (author-date)
Centers for Disease Control and Prevention. 2025. PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), adult cigarette smoking rate, crude prevalence. Counties in Texas by adult cigarette smoking rate, local model estimate, 2023. Dataset. Accessed October 12, 2026. https://www.cdc.gov/places/. Also distributed by Invokely, https://invokely.ai/rankings/adult-smoking-rate-county-estimate/texas-counties.
Harvard
Centers for Disease Control and Prevention (2025) PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), adult cigarette smoking rate, crude prevalence, Counties in Texas by adult cigarette smoking rate, local model estimate, 2023 [Dataset]. Available at: https://www.cdc.gov/places/, via Invokely: https://invokely.ai/rankings/adult-smoking-rate-county-estimate/texas-counties (Accessed: 12 October 2026).
BibTeX
@misc{centers_counties_in_texas_by_2023,
author = {{Centers for Disease Control and Prevention}},
title = {{PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), adult cigarette smoking rate, crude prevalence: Counties in Texas by adult cigarette smoking rate, local model estimate, 2023}},
year = {2025},
howpublished = {Data set},
url = {https://www.cdc.gov/places/},
urldate = {2026-10-12},
note = {Accessed via Invokely, https://invokely.ai/rankings/adult-smoking-rate-county-estimate/texas-counties. Publisher attribution: Centers for Disease Control and Prevention (CDC). PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), adult cigarette smoking rate, crude prevalence. https://www.cdc.gov/places/. Retrieved 2026-10-12. These data are available free from CDC. Use does not imply endorsement by CDC, ATSDR, HHS or the United States Government.},
}
RIS
TY - DATA
AU - Centers for Disease Control and Prevention
TI - PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), adult cigarette smoking rate, crude prevalence: Counties in Texas by adult cigarette smoking rate, local model estimate, 2023
PY - 2025
DA - 2025/12/04
PB - Centers for Disease Control and Prevention
DB - Invokely
UR - https://www.cdc.gov/places/
L2 - https://invokely.ai/rankings/adult-smoking-rate-county-estimate/texas-counties
Y2 - 2026/10/12
N1 - Accessed via Invokely, https://invokely.ai/rankings/adult-smoking-rate-county-estimate/texas-counties.
N1 - Publisher attribution: Centers for Disease Control and Prevention (CDC). PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), adult cigarette smoking rate, crude prevalence. https://www.cdc.gov/places/. Retrieved 2026-10-12. These data are available free from CDC. Use does not imply endorsement by CDC, ATSDR, HHS or the United States Government.
ER -
Use this data in your AI agent
Invokely serves this figure to AI assistants through MCP and to code through a REST API, with the source and citation attached. Ask your assistant:
Rank Counties in Texas by adult cigarette smoking rate, local model estimate using official data, and cite the source.
rank_places {"indicator":"adult_smoking_rate_modelled","level":"province","within":"Texas","limit":10}
GET https://invokely.ai/api/v1/rank?indicator=adult_smoking_rate_modelled&level=province&within=Texas&limit=10
Questions
Which county has the highest adult cigarette smoking rate, local model estimate?
Newton County, with 22.2% in 2023, according to the Centers for Disease Control and Prevention.
Which county has the lowest adult cigarette smoking rate, local model estimate?
Terrell County, with 9.2% in 2023.
Where does this ranking come from?
Every value comes from one source and one period, so the places are comparable: Centers for Disease Control and Prevention, PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), adult cigarette smoking rate, crude prevalence. Retrieved 2026-10-12. 1 counties have no value for 2023 and are not ranked.
Adult cigarette smoking rate, local model estimate: other rankings
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